| Youth Villages | |
|
9238 Madison Blvd Bldg 1 Madison AL 35758-9100 | |
| (256) 774-8359 | |
| Not Available |
| Full Name | Youth Villages |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9238 Madison Blvd Bldg 1, Madison, Alabama |
| Authorized Official Name and Position | Leanna Theresa Brotherson (THERAPEUTIC FOSTER CARE) |
| Authorized Official Contact | 2567748359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Villages 9238 Madison Blvd Bldg 1 Madison AL 35758-9100 Ph: (256) 774-8359 | Youth Villages 9238 Madison Blvd Bldg 1 Madison AL 35758-9100 Ph: (256) 774-8359 |
| NPI Number | 1497956270 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497956270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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